Obituaries

Vaneta Shelton
B: 1962-05-07
D: 2019-03-16
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Shelton, Vaneta
Jesse Andrews
B: 1966-02-03
D: 2019-03-10
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Andrews, Jesse
Jimmie Nance
B: 1935-05-18
D: 2019-03-06
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Nance, Jimmie
Roy Parsons
B: 1959-05-19
D: 2019-03-02
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Parsons, Roy
Fannie Nance
B: 1941-09-14
D: 2019-02-28
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Nance, Fannie
Adrienne Lewis
B: 1961-01-27
D: 2019-02-22
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Lewis, Adrienne
Yolanda Loredo
B: 1958-02-07
D: 2019-02-12
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Loredo, Yolanda
Stella Wright
B: 1947-10-17
D: 2019-02-11
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Wright, Stella
Bruce Foster
B: 1958-07-13
D: 2019-02-10
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Foster, Bruce
Elroy Stenson
B: 1932-12-08
D: 2019-02-04
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Stenson, Elroy
Tony Simmons
B: 1943-09-16
D: 2019-02-01
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Simmons, Tony
Shelby Boyer
B: 1969-10-13
D: 2019-01-28
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Boyer, Shelby
Lorna Shouse
B: 1937-02-02
D: 2019-01-21
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Shouse, Lorna
Kathy Logan
B: 1967-06-09
D: 2019-01-21
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Logan, Kathy
James Anderson
B: 1949-04-05
D: 2019-01-19
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Anderson, James
John Brooks
B: 1926-05-22
D: 2019-01-17
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Brooks, John
Albert Smith
B: 1947-03-02
D: 2019-01-16
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Smith, Albert
James Hillis
B: 1948-09-19
D: 2019-01-14
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Hillis, James
Donald Nichols
B: 1938-03-12
D: 2019-01-11
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Nichols, Donald
Lindsey Trueblood
B: 1951-09-24
D: 2019-01-10
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Trueblood, Lindsey
Wanda Ralston
B: 1952-11-29
D: 2019-01-06
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Ralston, Wanda

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I. Biographical Information
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Highest Education Level:
Please select Grade/Years of Education completed:
   
Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
Father's Name:
Father's City of Residence:
Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names and Cities of Residence
Relatives Who Have Preceded In Death
Occupation:
Business Type:
Company Name:
Church Membership:
Lodge or Union Name:

II. Military Record

Veteran:
Branch of Service:
Serial Number:
Date Enlisted: (month/day/year)
Date of Discharge: (month/day/year)
Rank at Discharge:
Location of a Copy of Discharge (DD214):
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

Type of Service:
Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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